Job Summary
A company is looking for a Healthcare Auditor to conduct independent audits supporting the Department of Veterans Affairs in preventing fraud, waste, and abuse.
Key Responsibilities
- Evaluate and document findings from medical record and claims reviews related to fraud, waste, and abuse
- Conduct medical record reviews utilizing knowledge of medical procedures, Medicare policies, and coding guidelines
- Prepare audit documentation and engage with team members to validate results while supporting comprehensive audits
Required Qualifications
- Active Public Trust or ability to obtain one, requiring U.S. citizenship and a favorable background check
- Bachelor's degree with three years of relevant experience, or a Master's degree with no experience required
- Experience auditing by professional standards and knowledge of government payor practices and coding
- Healthcare auditing or regulatory compliance experience will be considered
- Ability to work independently and manage multiple tasks with limited supervision
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